Individual provider Active NPI

Thomas Stephan Hastetter, M.D.

  • Obstetrics & Gynecology Physician
  • Evansville, IN
National Provider Identifier
1992770127
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01040195 Issued in IN
Practice address
7145 E Virginia St
Evansville, IN 47715-9147
Phone
(812) 962-7890
Fax
(812) 476-6162
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01040195 IN Primary

Addresses

Primary practice location

7145 E Virginia St
Evansville, IN 47715-9147

Mailing address

7145 E Virginia St Ste 2000
Evansville, IN 47715-9147
Phone (812) 962-7894

Other identifiers 1

IdentifierTypeStateIssuer
100180740MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Vitality@eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070516000463 IN Practitioner - Obstetrics/Gynecology 7517064157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7145 E Virginia St
Evansville, IN 47715-9144
Phone (812) 853-2229

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01040195INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Cosmetic Center, LLC PastSince Oct 15, 2007 Accepting new patients
Evansville OBGYN Past Accepting new patients
Cosmetic Center of Evansville PastSince Dec 15, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.hastetter@tshml.eclinicaldirectplus.com
  • Direct secure messaging: vitality@eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIGDAA/Endpoint/FIGDAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1992770127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST STE 2000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159147",
            "telephone_number": "812-962-7894",
            "fax_number": "812-476-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159147",
            "telephone_number": "812-962-7890",
            "fax_number": "812-476-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTETTER",
        "first_name": "THOMAS",
        "middle_name": "STEPHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01040195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180740",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vitality@eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7145 E Virginia St",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477159144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.